Radiological assessment in necrotizing fasciitis

Necrotizing fasciitis is a rarely seen condition that affects the superficial fascia and subcutaneous fatty tissue and can be life threatening. It is mostly encountered in an acute fashion, but subacute progressive course can be seen rarely. Necrotizing fasciitis can affect any part of the body, but it is mostly seen in extremities, especially in the lower extremity. Although some traumatic events such as open fractures, crush injuries, lacerations, steroid injections, insect bites, burns, or frostbite injuries can cause necrotizing fasciitis, it can also be seen without any trauma. Affected extremity or the life of the patient can be protected with rapid diagnosis and treatment. Radiological tests are important as clinical doubt and examination. This study aimed to discuss the importance of the radiological assessment for the diagnosis of this life-threatening condition in the context of current literature

Suprascapular nerve block for the treatment of frozen shoulder

The aim of our study was to compare the effects of suprascapular nerve block in patients with frozen shoulder and diabetes mellitus unresponsive to intraarticular steroid injections. Ten patients without improvement of sign and symptoms after intraarticular injections were made a suprascapular nerve block. Pain levels and active range of movement of patients were recorded at initial attendance and after 1, 4, and 12 weeks. All patients' simple pain scores, total pain scores, and range of motion of their shoulders were improved significantly after suprascapular nerve block. In this study, the statistical analyses were performed by using the SPSS 8.0 program [SPSS Software, SPSS Inc., USA]. To compare pre- and post-injection results of simple pain score, total pain score, shoulder abduction and external rotation, Wilcoxon test was used. Patient's simple pain scores, total pain scores also abduction, external rotation and internal rotation angles were improved significantly after suprascapular nerve block. Effective results after suprascapular nerve blockage was obtained for the treatment of refractory frozen shoulder cases